| NPI | 1972970036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENU HAUSEN Manager 516-578-1226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: TX H9745) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2016-06-08 |